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. 2022 Jun 22;2022(6):CD009092. doi: 10.1002/14651858.CD009092.pub3

Summary of findings 3. Comparison of antibiotics for routes of administration and duration of therapy.

Comparison of routes of administration and duration of therapy  
Patient or population: Patients with acute uncomplicated diverticulitis
Settings: Hospital admitted patients
Intervention: Antibiotic treatment: IV AB administration
Comparison: Antibiotic treatment: oral AB administration
 
Outcomes Illustrative comparative risks* (95% CI) Relative effect
(95% CI) No of Participants
(studies) Quality of the evidence
(GRADE) Comments
Assumed risk Corresponding risk
Oral AB administration IV AB administration 
Primary Short‐term complications (abscess, perforation, obstruction or fistula) within 30 days           No data
Primary Short‐term emergency surgery within 30 days           No data
Secondary ‐ Recurrence during follow‐up beyond 30 days            No data
Secondary ‐Long‐term complications during follow‐up beyond 30 days  46  per 1000a 46 per 1000
 (3 to 69) RR 1.0 (0.07 to 15.00) 44
(1) ⊕⊕⊝⊝
Low Downgraded to low due to risk of biasb and imprecisionc
Secondary ‐ Long‐term emergency surgery during follow‐up beyond 30 days           No data
Secondary ‐All cause mortality           No data
Secondary
Adverse events 
          No data
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.

 aThe assumed risk = total events/total included in the oral AB group multiplied 1000 (1/22*1000 = 46).

bOverall high risk of bias due to no blinding

cHigh risk of imprecision due to few participant and no events means the quality of evidence is low